Individual provider Active NPI

Robert L Hall Jr., MSN, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Naples, FL
National Provider Identifier
1184484834
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11031599 Issued in FL
Practice address
6561 Autumn Woods Blvd
Naples, FL 34109-7801
Phone
(239) 248-2527
NPI assigned
Mar 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11031599 FL Primary

Addresses

Primary practice location

6561 Autumn Woods Blvd
Naples, FL 34109-7801

Mailing address

6561 Autumn Woods Blvd
Naples, FL 34109-7801
Phone (239) 248-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003151 FL Practitioner - Nurse Practitioner 1052751526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031599FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hobdari Family Health LLC CurrentSince Dec 5, 2024 Accepting new patients

Locations

9400 Fountain Medical Ct
#B101
Bonita Springs, FL 34135
Phone (239) 260-1033

1855 Veterans Park Dr
Ste 201
Naples, FL 34109
Phone (239) 260-1033

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3809/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.hall.1@3809.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1184484834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 AUTUMN WOODS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097801",
            "telephone_number": "239-248-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6561 AUTUMN WOODS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097801",
            "telephone_number": "239-248-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11031599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.